Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $79.34 / $307.08	Facility		$79.34	$79.34	$307.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $92.85 / $127.38	Professional		$65.64	$92.85	$127.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $192.80 / $192.80	Professional		$146.81	$192.80	$192.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $252.38	Professional		$100.98	$100.98	$252.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $192.80 / $366.32	Professional		$177.38	$192.80	$366.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.08 / $891.08 / $891.08	Facility		$891.08	$891.08	$891.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Professional		$130.19	$130.19	$130.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $79.34 / $307.08	Facility		$79.34	$79.34	$307.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $92.85 / $135.06	Professional		$63.96	$92.85	$135.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $240.60 / $379.80	Professional		$119.20	$240.60	$379.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $252.38	Professional		$100.98	$100.98	$252.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.84 / $183.51 / $183.51	Facility		$137.84	$183.51	$183.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $183.51 / $207.24	Professional		$137.84	$183.51	$207.24
United Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $98.12 / $173.87	Professional		$80.62	$98.12	$173.87